Gastrointestinal Endoscopy In The Cancer Patient

This book is a full colour, highly clinical multi-media atlas focusing on the role diagnostic and therapeutic endoscopy plays in the management of patients with cancer. Conveniently split into sections for each part of the GI tract, each section will follow a consistent structure. With 400 high-quality images and in addition, 21 high-definition videos showing endoscopy from the experts, this book is the perfect consultation and learning tool for all gastroenterologists, endoscopists, GI surgeons and oncologists.

Provides in-depth, clinical reviews on Gastric Cancer, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews. Provides in-depth, clinical reviews on Gastric Cancer, providing actionable insights for clinical practice. Presents the latest information on this timely, focused topic under the leadership of experienced editors in the field; Authors synthesize and distill the latest research and practice guidelines to create these timely topic-based reviews.

Table 1 Cancer is the second most common cause of death in Americans (see www.cdc.gov). Colorectal cancer kills more Incidence and Mortality of the Five Most Common Gastrointestinal Malignancies Americans than any other malignancy except for lung cancer. The incidences and mortalities of the major gastrointestinal a a Site Incidence Mortality (GI) malignancies are shown in Table 1. Taken as a group, the five most common GI malignancies account for more cancers Colorectum 53.9 21.6 and more cancer deaths than for any other site. Pancreas 11.1 10.6 Stomach 9.1 4.9 Flexible endoscopy has given physicians unprecedented Liver/intrahepatic bile ducts 6.2 4.4 access to the GI tract. The ability to endoscopically visu- Esophagus 4.5 4.3 alize, biopsy, and apply therapy has had implications for the management of all the major GI malignancies. Accepted Data from SEER database 1992–2002 (www.seer.cancer.gov). applications of endoscopy range from detection of mal- a Per 100,000.

This book is a concise guide to gastrointestinal cancers, focussing specifically on endoscopic imaging and treatment. Each chapter discusses the different approaches for endoscopic diagnosis, looking at the etiology, epidemiology, endoscopic techniques and role of endoscopic interventions for all major types of gastrointestinal cancer. Written by a renowned author and editor team from the UK, Europe, USA and Asia this manual includes nearly 200 colour images and illustrations. Also included are two video DVDs of thirteen different endoscopic procedures. Key Features Concise guide to endoscopic imaging, diagnosis and treatment of major gastrointestinal cancers Renowned author and editor team from the UK, Europe, USA and Asia Nearly 200 colour images and illustrations Includes video DVDs of various endoscopic procedures

This textbook provides a unique comprehensive evidence-based knowledge about nursing in Gastrointestinal Endoscopy. It is the first book ever that harmonises specialised knowledge on Endoscopy Nursing from different countries. Therefore, it can be used in different national health systems. It explains the developments of Endoscopy nursing which inform the establishment of effective educational structures in medicine and nursing. 67 chapters reflect evidence-based or consensus in practise covering structure, process and outcome quality of endoscopic procedures and related patient care. A huge variety of endoscopic procedures and other GI relevant investigations are included offering useful information for nursing practice. Advanced roles are established in many countries worldwide. Principles of these roles for example nurse endoscopists or nurse administered Propofol sedation offer career development in Gastrointestinal Endoscopy and is ever evolving. Combining best experts' knowledge from many countries, this textbook can be used for teaching new staff in endoscopy as well as reviewing and updating Endoscopy specific knowledge. As the content is based on the ESGENA European core curriculum, it can be used as a resource for courses focused on endoscopy nursing. Endoscopy procedures are an integral part in cancer screening programs as well as detection and therapeutic interventions for a number of gastrointestinal conditions. Technological developments have significantly expanded in the last 30 years. In this context Endoscopy nurses are responsible not only for individualised, comprehensive and complex patient care, but also advanced technical skills during endoscopic interventions, which require close monitoring of patients to ensure safety. Infection prevention and control is vital throughout the patient journey and this also includes the decontamination processes of endoscopes and accessories. Staff involved in patient care and decontamination processes need training and knowledge to prevent patient and self-contamination. In addition, advanced endoscopy nursing skills have been established for the treatment of various gastrointestinal diseases. These complex tasks require specialised knowledge and training to ensure patient safety and positive outcomes in patient care. The European Society of Gastroenterology and Endoscopy Nurses and Associates (ESGENA) has developed important documents, like the European Job profile and the European Core Curriculum for Endoscopy nursing, followed by statements on staffing levels and nurse endoscopists. Since its foundation in 1996, ESGENA has been establishing a close co-operation with ESGE and has co-authored various guidelines, statements and curricula on hygiene, sedation, quality assurance and endoscopy techniques. ESGENA also developed a close co-operation with ESNO. Consequently, this textbook is published within ESNO series.

Since a number of mucosal digestive tract cancer detected has increased in recent years with an advance of endoscopic instruments, endoscopic treatment of digestive tract cancer is widely spread in Japan but not in other countries. Minute cancers seem to have own characteristic mucosal signs compared with benign lesions. Therefore, strategies, those are different in Japan from other countries, of endoscopic diagnosis are very important. The cancer institute hospital of JFCR (Japan foundation of cancer research) is one of the top institutions which do the best endoscopic treatment in Japan. This book is expected to be the first valuable atlas in which the abundant experiences of this hospital offer beautiful photographs of minute cancers without any scars of biopsies which change aspects of original lesions. This book also offer pictures of magnifying endoscopy using NBI (Narrow Band Imaging) and pathological findings.

Included here is a discussion of the pathophysiological aspects and risks of laparoscopic staging (such as trocar metastases) on the basis of international experience.

One reason for failure to cure solid tumors by surgery appears to be the impossibility of controlling metastases that are present but latent at the time of operation. This failure is a common clinical experience with aggressive neoplasms. but it is not always appreciated in tumors with longer survival times. e. g .• breast and colon cancer. In addition. recent evidence indicates that after resection of a primary tumor micrometas tases from it might be enhanced by suppression of immune and reticu loendothelial functions of the host. Other factors, such as increase of coagulability and stress in the perioperative period, can also promote tumor growth. The development of new metastases might be facilitated by cells forced into the circulation during operative manipulations. Such events could be important for the outcome of treatment and it is suggested that preventive measures should be directed to this systemic component of solid tumors. Radical surgery can reduce the number of tumor cells to a subclinical 3 6 stage (10 to 10 cells) in which chemotherapy might be more effective than in advanced stages. Chemotherapy, on the other hand, might aggravate the surgical morbidity by influencing the wound healing pro cess, by decreasing the immune response, and/or by toxicity to the bone marrow and to the gastrointestinal tract, for example.